2023-09-06T15:09:26-05:00 2022-12-31 450250958 EIDE BAILLY LLP 200 E 10TH ST STE 500 SIOUX FALLS SD 571046375 990 2022-01-01 460396398 OLATHE GOOD SAMARITAN HOUSING INC OLAT 6053331000 PO BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 NATHAN SCHEMA PRESIDENT & CEO 6053331000 2023-08-30 1 NATHAN SCHEMA XXX-XX-XXXX 1 LAURIE HANSON CPA P00851848 6053391999 2023-08-30 3 AAL1 IAL1 2022 2023-04-26 12:10:37Z NATHAN SCHEMA 4800 W 57TH ST SIOUX FALLS SD 57117 257449 0 X WWW.SANFORDHEALTH.ORG X 1987 SD THE CORPORATION IS ORGANIZED EXCLUSIVELY FOR THE BENEFIT OF, TO SUPPORT THE FUNCTIONS OF, AND TO ASSIST THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY. X 3 0 0 0 0 0 0 0 0 0 324219 -1238661 0 0 324219 -1238661 0 0 0 0 0 0 0 0 0 618927 1648 618927 1648 -294708 -1240309 5874958 637942 1778 0 5873180 637942 THE CORPORATION IS ORGANIZED EXCLUSIVELY FOR THE BENEFIT OF, TO SUPPORT THE FUNCTIONS OF, AND TO ASSIST THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY. 0 0 THE ORGANIZATION BECAME A SUPPORTING ORGANIZATION OF THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY EFFECTIVE JANUARY 1, 2007. THE ORGANIZATION HELPED PROVIDE LOW-INCOME HOUSING TO ELDERLY AND OTHER ELIGIBLE POPULATIONS THROUGH ITS RELATIONSHIP WITH OLATHE GOOD SAMARITAN HOUSING, LP. 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 X 3 0 0 1 0 0 1 1 1 1 0 0 0 0 1 1 1 1 1 0 0 1 0 X JOEL FLUIT 6053331000 4800 W 57TH STREET SIOUX FALLS SD 57108 ERIC VANDEN HULL VP; TREAS.; DIRECTOR 0.02 54.98 X X 0 529683 41135 THOMAS A SYVERSON DIRECTOR 0.02 54.98 X 0 343564 42567 NATHAN SCHEMA PRESIDENT & CEO 0.02 54.98 X X 0 774197 127629 SHANE KNUTSON DIRECTOR 0.02 54.98 X 0 134280 32884 CHAD JUNGMAN SECRETARY 0.02 59.98 X 0 483767 77856 0 2265491 322071 0 0 1 0 0 257449 257449 1496110 -1496110 -1496110 -1496110 -1238661 0 0 -1238661 50 50 1598 1598 1648 0 1648 0 635027 637942 3804013 0 191004 0 -1876731 0 3121645 0 5874958 637942 1778 0 1778 0 X 5873076 637838 104 104 5873180 637942 5874958 637942 X -1240309 -3994929 X 0 1 X 1 0 X X 1 THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY 450228055 10 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 PART I, LINE 11G, COLUMN (VI) NO MONETARY SUPPORT WAS PROVIDED DURING THE YEAR ENDED DECEMBER 31, 2022. HOWEVER, OLATHE GOOD SAMARITAN HOUSING, INC. SUPPORTED THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY THROUGH ITS INVOLVEMENT AS A GENERAL PARTNER IN OLATHE GOOD SAMARITAN HOUSING, LIMITED PARTNERSHIP. THE PARTNERSHIP ADVANCES THE MISSION OF THE SOCIETY BY PROVIDING HOUSING TO LOW-INCOME ELDERLY RESIDENTS UTILIZING TAX CREDIT FINANCING. 0 X PART X, LINE 2: CERTAIN CONTROLLED CORPORATIONS ARE SUBJECT TO INCOME TAXES. DEFERRED INCOME TAX ASSETS AND LIABILITIES ARE RECOGNIZED FOR THE DIFFERENCES BETWEEN THE FINANCIAL AND INCOME TAX REPORTING BASIS OF ASSETS AND LIABILITIES BASED ON ENACTED TAX RATES AND LAWS. A TAX BENEFIT FROM AN UNCERTAIN TAX POSITION MAY BE RECOGNIZED WHEN IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINED UPON EXAMINATION. THE DEFERRED INCOME TAX PROVISION OR BENEFIT GENERALLY REFLECTS THE NET CHANGE IN DEFERRED INCOME TAX ASSETS AND LIABILITIES DURING THE YEAR. THE CURRENT INCOME TAX PROVISIONS REFLECT THE TAX CONSEQUENCES OF REVENUES AND EXPENSES CURRENTLY TAXABLE OR DEDUCTIBLE ON VARIOUS INCOME TAX RETURNS FOR THE YEAR REPORTED. THE SOCIETY DID NOT HAVE AN INCOME TAX LIABILITY AT DECEMBER 31, 2022. HOWEVER, SOME RELATED ORGANIZATIONS HAVE ESTABLISHED RESERVES. 0 1 0 0 0 0 0 0 0 NATHAN SCHEMA PRESIDENT & CEO 0 603028 0 67815 0 103354 0 101312 0 26317 0 901826 0 0 ERIC VANDEN HULL VP; TREAS.; DIRECTOR 0 411619 0 60986 0 57078 0 15250 0 25885 0 570818 0 0 CHAD JUNGMAN SECRETARY 0 350245 0 87101 0 46421 0 56161 0 21695 0 561623 0 0 THOMAS A SYVERSON DIRECTOR 0 341742 0 300 0 1522 0 15250 0 27317 0 386131 0 0 SHANE KNUTSON DIRECTOR 0 102903 0 30300 0 1077 0 7261 0 25623 0 167164 0 0 CASH 2022-10-14 3994929 BOOK VALUE 450228055 THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY PO BOX 5039 RTE 5218 SIOUX FALLS SD 57117 501(C)3 0 0 0 0 FORM 990, PART VI, SECTION A, LINE 1A THE CHAIRPERSON OF THE BOARD DOES NOT HAVE VOTING RIGHTS. FORM 990, PART VI, SECTION A, LINE 3 THE MANAGEMENT DUTIES OF THE ORGANIZATION HAVE BEEN DELEGATED TO THE ORGANIZATION'S SPONSOR, THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY (TELGSS), THROUGH AN INFORMAL MANAGEMENT AGREEMENT. FORM 990, PART VI, SECTION A, LINE 6 SANFORD IS THE CLASS A CORPORATE MEMBER OF THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY. THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY (THE "SOCIETY") IS THE CLASS B MEMBER THAT RETAINS THE ABILITY TO RECOMMEND MEMBERS OF THE SOCIETY BOARD OF DIRECTORS FOR APPOINTMENT BY THE CLASS A CORPORATE MEMBER, SANFORD. THE SOCIETY BOARD OF DIRECTORS ADMINISTERS THE AFFAIRS OF THE SOCIETY, INCLUDING BUDGET DEVELOPMENT AND PROVIDING ADVICE AND CONSENT TO SANFORD IN SELECTING AND EVALUATING THE SOCIETY PRESIDENT. SOME ACTIONS OF THE SOCIETY BOARD OF DIRECTORS REQUIRE APPROVAL OF THE SANFORD BOARD OF TRUSTEES (SEE PART VI, LINE 7B). FORM 990, PART VI, SECTION A, LINE 7A THE BOARD MEMBERS ARE APPOINTED BY THE DIRECTORS OF THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY. FORM 990, PART VI, SECTION A, LINE 7B ARTICLES OF INCORPORATION AND BY-LAW CHANGES REQUIRE THE APPROVAL OF THE BOARD OF THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY. FORM 990, PART VI, SECTION A, LINE 8B THE ORGANIZATION DOES NOT HAVE COMMITTEES THAT HAVE THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B THE TAX DEPARTMENT WITH THE MANAGING AGENT, THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY AND SANFORD, REVIEW THE 990 IN DETAIL PRIOR TO IT BEING FILED. ANY QUESTIONS ARE RESOLVED WITH THE CFO & TREASURER OF THE CORPORATION PRIOR TO THE 990 BEING FILED. A COPY OF THE 990 IS PROVIDED TO THE CORPORATION'S OFFICERS PRIOR TO IT BEING FILED. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION HAS A CONFLICT OF INTEREST POLICY THAT COVERS SUBSTANTIALLY ALL EMPLOYEES. ALL EMPLOYEES ARE REQUIRED TO REPORT ANY POTENTIAL CONFLICTS TO THE APPROPRIATE INDIVIDUAL AS INDICATED IN THE POLICY. ALL POTENTIAL CONFLICTS ARE INVESTIGATED TO DETERMINE IF A CONFLICT EXISTS. IF APPROVAL IS GIVEN TO PROCEED WITH THE ACTION, A COPY OF THE APPROVAL IS DOCUMENTED IN THE EMPLOYEE'S PERSONNEL FILE. THE ORGANIZATION ASKS THAT ALL OFFICERS AND DIRECTORS COMPLY WITH THE IRS CONFLICT OF INTEREST AND DISCLOSURE CERTIFICATION. THE ORGANIZATION REQUIRES ALL OFFICERS AND DIRECTORS TO PROVIDE A SIGNED COPY TO THE CORPORATION'S MAIN OFFICE ANNUALLY. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION DOES NOT EMPLOY A CEO, EXECUTIVE DIRECTOR, TOP MANAGEMENT OFFICIAL, OR ANY KEY EMPLOYEES. THE MANAGEMENT FUNCTIONS OF THE ORGANIZATION HAVE BEEN OUTSOURCED TO THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY. FORM 990, PART VI, SECTION C, LINE 19 THE PROJECT MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: TRANSFERS -3,994,929. ADAMS COUNTY GOOD SAMARITAN HOUSING GP INC P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 461495572 LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS AS GP SD 501(C)(3) LINE 12A, I THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY 0 ARLINGTON GOOD SAMARITAN HOUSING INC P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 371805492 PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS SD 501(C)(3) LINE 10 THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY 0 BOISE GOOD SAMARITAN HOUSING INC P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 363370371 PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS SD 501(C)(3) PF THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY 0 COLLISTER DRIVE HOUSING GP INC P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 300872973 LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS AS GP SD 501(C)(3) PF THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY 0 F-M AMBULANCE SERVICE INC P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 450344371 EMT ND 501(C)(4) SANFORD NORTH 0 GOOD SAMARITAN SOCIETY INC P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 460349951 PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS SD 501(C)(3) LINE 12A, I THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY 0 HASTINGS VILLAGE GARDENS GOOD SAMARITAN HOUSING GP INC P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 271212446 LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS AS GP SD 501(C)(3) LINE 12A, I THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY 0 HOWARD LAKE GOOD SAMARITAN HOUSING INC P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 364885253 PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS SD 501(C)(3) LINE 10 THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY 0 LEA COUNTY GOOD SAMARITAN HOUSING INC P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 453946645 PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS SD 501(C)(3) LINE 10 THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY 0 LILAC WAY GOOD SAMARITAN HOUSING GP INC P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 465740381 LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS AS GP SD 501(C)(3) LINE 12A, I THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY 0 MILLARD GOOD SAMARITAN HOUSING GP INC P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 460396332 LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS AS GP SD 501(C)(3) LINE 12A, I THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY 0 PRESCOTT GOOD SAMARITAN HOUSING GP INC P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 275114421 LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS AS GP SD 501(C)(3) LINE 12A, I THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY 0 PROPHETSTOWN GOOD SAMARITAN HOUSING INC P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 460392943 PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS SD 501(C)(3) LINE 10 THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY 0 RAPID CITY GOOD SAMARITAN HOUSING GP INC P O BOX 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BOOK VALUE THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY R 3994929 BOOK VALUE SCHEDULE R, PART III OLATHE GOOD SAMARITAN HOUSING LP 20-5297369 WAS DISSOLVED DURING 2022.